LAWN FUNERAL HOME, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2011
|
362716822
|
2012-11-29
|
LAWN FUNERAL HOME, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-07-01
|
Business code |
812210
|
Sponsor’s telephone number |
7084293200
|
Plan sponsor’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
362716822 |
Plan administrator’s name |
LAWN FUNERAL HOME, LTD. |
Plan administrator’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7084293200 |
Signature of
Role |
Plan administrator |
Date |
2012-11-29 |
Name of individual signing |
DONALD B JARKA JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-29 |
Name of individual signing |
DONALD B JARKA JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWN FUNERAL HOME, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2010
|
362716822
|
2011-11-30
|
LAWN FUNERAL HOME, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-07-01
|
Business code |
812210
|
Sponsor’s telephone number |
7084293200
|
Plan sponsor’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
362716822 |
Plan administrator’s name |
LAWN FUNERAL HOME, LTD. |
Plan administrator’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7084293200 |
Signature of
Role |
Plan administrator |
Date |
2011-11-30 |
Name of individual signing |
DONALD B JARKA JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-30 |
Name of individual signing |
DONALD B JARKA JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWN FUNERAL HOME, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
362716822
|
2010-12-03
|
LAWN FUNERAL HOME, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-07-01
|
Business code |
812210
|
Sponsor’s telephone number |
7084293200
|
Plan sponsor’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
362716822 |
Plan administrator’s name |
LAWN FUNERAL HOME, LTD |
Plan administrator’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7084293200 |
Signature of
Role |
Plan administrator |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWN FUNERAL HOME, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
362716822
|
2010-12-03
|
LAWN FUNERAL HOME, LTD
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-07-01
|
Business code |
812210
|
Sponsor’s telephone number |
7084293200
|
Plan sponsor’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
362716822 |
Plan administrator’s name |
LAWN FUNERAL HOME, LTD |
Plan administrator’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7084293200 |
Signature of
Role |
Plan administrator |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAWN FUNERAL HOME, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
362716822
|
2010-12-03
|
LAWN FUNERAL HOME, LTD
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-07-01
|
Business code |
812210
|
Sponsor’s telephone number |
7084293200
|
Plan sponsor’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
362716822 |
Plan administrator’s name |
LAWN FUNERAL HOME, LTD |
Plan administrator’s
address |
7732 WEST 159TH STREET, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7084293200 |
Signature of
Role |
Plan administrator |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-03 |
Name of individual signing |
DONALD B. JARKA JR. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|